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[Systems saving lives: a systems-based approach to cardiac arrest management]
Bálint Bánfai1,2, József Betlehem1,2, Enikő Kovács2,3,4
11 Pécsi Tudományegyetem, Egészségtudományi Kar, Sürgősségi, Egészségpedagógiai és Ápolástudományi Intézet Pécs, Vörösmarty u. 4., 7621 Magyarország.
Orvosi Hetilap
|July 26, 2026
Summary
Improving survival from out-of-hospital cardiac arrest requires a coordinated system of care, not just individual interventions. The 2025 European Resuscitation Council guidelines emphasize community awareness, early cardiopulmonary resuscitation education, and integrated emergency responses for better outcomes.
Area of Science:
- Emergency Medicine
- Public Health
- Cardiology
Background:
- Out-of-hospital cardiac arrest (OHCA) is a significant global health issue.
- Survival rates are heavily influenced by the speed, quality, and organization of emergency care.
- The 2025 European Resuscitation Council (ERC) Systems saving lives guidelines advocate for a comprehensive, system-based approach.
Purpose of the Study:
- To summarize the key elements of the 2025 ERC guidelines from the Hungarian Resuscitation Society's perspective.
- To highlight the importance of the chain of survival and the formula of survival in OHCA management.
- To emphasize the integration of scientific evidence, education, and local implementation for improved outcomes.
Main Methods:
- Review and summarization of the 2025 ERC Systems saving lives guidelines.
- Focus on recommendations for community awareness, early cardiopulmonary resuscitation (CPR) education, and lay responder engagement.
- Analysis of organizational aspects of emergency care, including dispatcher-assisted CPR, automated external defibrillator (AED) accessibility, and emergency medical team training.
Main Results:
- Effective OHCA management relies on a coordinated system encompassing early recognition, bystander CPR, advanced care, and post-arrest care.
- Community engagement, early CPR education, and optimized emergency medical services are crucial for timely intervention.
- In-hospital systems, cardiac arrest centers, and structured follow-up improve long-term survival and quality of life for survivors.
Conclusions:
- A comprehensive, system-based strategy is essential for improving OHCA survival rates.
- Integrating emerging technologies like AI requires careful evaluation within legal and ethical frameworks.
- Developing sustainable, effective national life-saving systems necessitates a coordinated, multi-faceted approach.
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